Abstract
Treatment of acute sporadic vulvovaginal candidiasis is based on the use of local and systemic antifungals. Without seeking and identification of cause of the infection, management can lead to simplification.
Treatment of patients with chronic problems should be complex and personalized. We should respect the possibility of a symptomless colonization with yeasts.
The gynecologist should not avoid the fundamental issues related to the way of life of the patient. A main goal is to monitor the quality of the vaginal environment using simple and available tests, preferably based on microscopic evaluation of native preparation.
The task is not eradication of all vaginal microbiota, but preserve or restore the natural physiological and microbiological conditions in the vagina. In practice, this means a prudent approach with minimal medical intervention and maximum utilization of supportive care for chronic patients, accompanied by a positive psychological attitude on the part of the attending gynecologist.